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ICD-10 Guide
ICD-10 CodesD22.30

D22.30

Billable

Melanocytic nevi of unspecified part of face

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D22.30 is a billable code used to indicate a diagnosis of melanocytic nevi of unspecified part of face.

Key Diagnostic Point:

Melanocytic nevi, commonly referred to as moles, are benign tumors of melanocytes, the pigment-producing cells in the skin. When located on the face, these nevi can vary in size, shape, and color, and they are typically asymptomatic. Melanocytic nevi can be congenital (present at birth) or acquired over time due to sun exposure or other environmental factors. While most nevi are benign, they can sometimes undergo changes that warrant further evaluation to rule out malignancy. The unspecified part of the face indicates that the exact location of the nevus is not documented, which can complicate treatment and follow-up. Management typically involves monitoring for changes in size, shape, or color, and surgical excision may be considered if there are concerns about malignancy or for cosmetic reasons. Regular dermatological evaluations are recommended to ensure any changes are promptly addressed. Accurate coding is essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified location can lead to ambiguity in documentation.
  • Differentiating between benign and potentially malignant lesions.
  • Need for thorough patient history and examination.
  • Variability in clinical presentation and patient reporting.

Audit Risk Factors

  • Inadequate documentation of the nevus characteristics.
  • Failure to document patient history regarding changes in the nevus.
  • Lack of follow-up notes or treatment plans.
  • Misclassification of benign nevi as malignant.

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the nevus, including size, color, and any changes over time.

Common Clinical Scenarios

Routine skin checks, excision of suspicious nevi, and management of nevi in patients with a family history of skin cancer.

Billing Considerations

Ensure clear documentation of the nevus characteristics and any patient-reported changes.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings related to skin lesions.

Common Clinical Scenarios

Annual skin exams, referrals to dermatology for suspicious lesions, and management of skin conditions.

Billing Considerations

Document any patient concerns regarding nevi and ensure appropriate referrals are made.

Coding Guidelines

Inclusion Criteria

Use D22.30 When
  • According to ICD
  • 10 coding guidelines, D22
  • 30 should be used when documenting melanocytic nevi that do not have a specified location on the face
  • Coders should ensure that the documentation supports the diagnosis and that any relevant clinical findings are included

Exclusion Criteria

Do NOT use D22.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when a benign nevus is excised for cosmetic reasons.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Dermatologists should ensure clear documentation of the nevus characteristics.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin lesions, including melanocytic nevi. D22.30 provides a way to document benign nevi that do not have a specified location, which can help in tracking and managing these lesions over time.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin lesions, including melanocytic nevi. D22.30 provides a way to document benign nevi that do not have a specified location, which can help in tracking and managing these lesions over time.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between D22.30 and other D22 codes?

D22.30 is used for melanocytic nevi of unspecified part of the face, while other D22 codes specify the location, such as right or left side of the face. Using the correct code is important for accurate documentation and management.